Active NPI
Marlana A Rugg, PSY D
- Psychologist
- Old Saybrook, CT
National Provider Identifier
1639135833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2729
- Practice address
- 20 Research Pkwy
Suite C
Old Saybrook, CT 06475-4214 - Phone
- (800) 370-3651
- Fax
- (860) 510-0020
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2729 | CT | Primary |
Addresses
Primary practice location
20 Research Pkwy
Suite C
Old Saybrook, CT 06475-4214
Mailing address
20 Research Pkwy
Suite C
Old Saybrook, CT 06475-4214
Phone (800) 370-3651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 885000300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everly, Hildreth & Platman Behavioral Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Baltimore, MD
- NPI 1225005580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1639135833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 RESEARCH PKWY",
"address_2": "SUITE C",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754214",
"telephone_number": "800-370-3651",
"fax_number": "860-510-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 RESEARCH PKWY",
"address_2": "SUITE C",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754214",
"telephone_number": "800-370-3651",
"fax_number": "860-510-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGG",
"first_name": "MARLANA",
"middle_name": "A",
"credential": "PSY D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "2729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "885000300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.